Yawancin yara masu shekaru 11 zuwa 17 sun fuskanci maganin patella, wanda an kafa harsashi mai zafi. Matsalar ta kara tsanantawa ta hanyar sassaukaka bangarori. An kira alamun Osgood-Schlatter cutar, har ya fi rinjayar da yaran da ke cikin wasanni .
Menene cutar Osgood-Schlatter?
An gabatar da nau'o'in osteochondropathy na samari a farkon karni na ashirin da wasu likitoci guda biyu. Yanayin yanayin ilimin yanayin jiki yana samuwa da bayyanar (ba tare da wani dalili na waje - fall, bugun jini) na jin zafi a lokacin da ya durƙusa gwiwa da kuma haifar da mummunan kumburi a ƙarƙashinsa. Yayinda canjin yanayin ƙwayoyin cutar bazai iya ganewa ba, yanayin lafiyar mutum an kiyasta azaman mai gamsarwa. Bayan daya gwiwa, wani zai iya fadawa rashin lafiya - tare da canje-canje.
Osteochondropathy tuberosity na tibia ne lalacewa ta hanyar karuwa load a kan cartilages da ba su da cikakken kafa. A lokacin wasan motsa jiki, tsokoki na hanji suna tayar da tendon da ke haɗa da tibia da gwiwoyin gwiwa. Akwai tsohuwar hawaye da ke haifar da ciwo da kumburi. Jiki na yaro zai iya haifar da ci gaban kashi don kawar da lahani, to, karamin karar yana bayyana.
Osgood-Schlatter cutar - bayyanar cututtuka
Babban dalilai na ci gaba da cutar Osgood-Schlatter sune samari, jima'i maza ('yan mata 11-13 da haihuwa suna iya cutar da cutar, amma zuwa karami) da shiga cikin wasanni. Idan wani yaro ya shiga cikin wasan motsa jiki, hockey, kwallon kafa, wasan motsa jiki da kuma jin kunci da damuwa a karkashin gwiwa, yana da muhimmanci a kula da bayyanar cututtuka. Osgood-Schlatter na gwiwa na gwiwa yana da wadannan alamun bayyanar:
- Ƙananan ƙarfin ciwo a ƙarƙashin gwiwa, ƙarfafawa bayan kaya;
- zafi a karkashin gwiwa, a cikin yankin tuberosity;
- kumburi da kyallen takalma;
- tashin hankali na tsokoki na cinya, musamman ma quadriceps.
Osgood-Schlatter cuta - alamun X-ray
Sakamakon ganewar yanayin yana nufin bincike na asibiti da kuma kwatanta da bayanan radiyo. Idan an bincikar osteochondropathy na tubebia na tibia, x-ray yafi bambanta da kwatanta da sauran irin wadannan cututtuka, amma kasa da hankula. A waje, cutar za ta iya rikita rikicewa tare da murkushewa, fatalwa ko raguwa da tsari na epiphyseal. Nazarin abubuwan da ke tattare da kwakwalwa ya nuna irin wadannan cututtukan:
- riga ya ƙarfafa tsarin epiphyseal canza tsari, tsari;
- A cikin yankin tuberosity, an lura da kananan "proboscis";
- Ƙananan gutsutsure ne bayyane, a cikin adadin daga 1 zuwa 3;
- a cikin layi na gaba - ƙuduri da ƙaddamarwa na apophysis na yankin tuberosity.
Osgood-Schlatter cuta - mataki da kuma mataki na ci gaba
Bincike na osteochondropathy bai haifar da matsala ba yayin da tsarin ilimin pathology yake. An umurci masu haƙuri da magani na likita-jiyya dangane da hoto da kuma yadda cutar Osgood-Schlatter ta bayyana kanta; matakai sun bambanta a cikin matsanancin tsananin bayyanar cututtuka.
A cikin wannan cuta, akwai digiri uku:
- Na farko. Kwayoyin cututtuka sune kadan, bayyanuwar waje ba su nan, amma ciwo ya bayyana.
- Na biyu - jin zafi ya zama mai tsanani, akwai ƙira a ƙarƙashin gwiwa.
- Na uku - cututtuka tare da rashin jinƙai, zafi, alamun waje suna bayyane.
Osgood-Schlatter cuta - magani
Hanyar ƙaddamarwa a cikin matasa 'yan wasa, a matsayin mulki, ke da kanta a wannan shekarar. Tare da shekaru, kashi nama ya daina girma da kuma pathology bace. Labaran Osgood-Schlatter ba ya kawo hadari kuma yana haifar da farfadowa. Bayan na farko, wanda ya kasance daga watanni 3. har zuwa watanni shida, cutar dole ne ta koma baya. A wasu lokuta, an yi sakamako mai kyau bayan watanni 9-12. ko ba ya zo ba. Yadda za a bi da cutar Osgood-Schlatter a hanyoyi masu ra'ayin mazan jiya:
- tabbatar da cikakken hutawa ga yankin da ya shafa;
- yin amfani da bandeji na mayafi don tsawon lokacin wasanni;
- rage yawan kumburi;
- daidaituwa game da tsari na kashi kashi na apophysis;
- tausa;
- gymnastics;
- physiotherapy.
Osgood-Schlatter cutar - LFK
Idan ana bayyana alamar cututtuka, cutar Osgood-Schlatter a cikin matasa yana da haske, magani ya hada da ilimin jiki (LFK). Dole ya zama wajibi ne don shimfida tsokawar quadriceps, tendons na haihuwa. Wadannan matakan za su iya rage nauyin a kan yankin da yadon gwiwa yake a haɗe zuwa tibia. Aiki na yau da kullum LFK - musamman don nuna ƙarfin tsohuwar hanji - karfafawa da gwiwa gwiwa. Marasa lafiya za su iya yin aikin kai tsaye, karkashin kulawar likitoci ko a sanadiyyar sanarwa.
Kashe tare da cutar Osgood-Schlatter
'Yan wasan motsa jiki, masu fuskantar wasan kwaikwayon marasa kyau, na iya cigaba da wasa da wasanni saboda hanyoyin zamani na magani. Daga cikin su - bugawa , da sanya takaddun kafa na musamman na auduga mai laushi a wuraren da aka shafa. An nuna hanya a lokacin da osteochondropathy na tibial tuberosity a cikin yara da matasa ba sa tsangwama tare da rayuwa ta al'ada kuma yana buƙatar kawai gyara. Ta hanyar saka tef, zaka iya samun raguwa a cikin ciwo na ciwo, ƙaddamar da aikin muscular da kuma motsi.
Yi haƙuri tare da cutar Osgood-Schlatter
An yi amfani da gadawan gyaran kafa don gyara gwiwa. Sanninsu yana taimakawa wajen ci gaba da ilimin lissafi, ta hanzarta aiwatar da tsarin warkaswa. Ana amfani da nau'o'in nau'in samfur:
- bandeji;
- takalmin gyaran kafa ;
- orthosis.
A cikin akwati na farko, ana kunnen gwiwa akan gwiwa - mai taushi, matsakaici ko wuya, dangane da manufar (rigakafin, kariya, rage cin hanci). Ƙarƙwarar hanyoyi masu yawa suna tsara iyakar gajeren sulɓi. Zaka iya yin ba tare da yin amfani da ɗakunan ba. Orthosis tare da cutar Osgood-Schlatter ya tsagaita haɗin gwiwa a wani matsayi. Yana sauke matsalolin gida, yana da rinjayar rinjayar gwiwa.
Electrophoresis a cutar Osgood-Schlatter
Wadanda ke fama da raunuka mai tsanani - a kashi na biyu da na uku na ci gaba da ilimin cututtuka - an nuna lafiyar cutar lafiyar Osgood-Schlatter. Osteochondropathy na tibial tuberosity an shafe ta ta yin amfani da kwayoyi karkashin fata tare da taimakon lantarki ( electrophoresis ). Duration na hanya shine watanni 3-4. Ana amfani da magunguna daban-daban:
- An inganta wani mataki na matsakaici na ci gaban cututtuka tare da bayani na kashi 2% na lidocaine wanda ya canzawa ga nicotinic acid (niacin) da kuma calcium chloride.
- Matsayi mai nauyi ya ƙunshi electrophoresis tare da Aminophylline, Potassium iodine, sa'an nan kuma tare da waɗannan abubuwa kamar yadda a cikin akwati na farko (CaCl2 + niacin).
Osgood-Schlatter cuta - magani tare da mutãne magani
Magunguna dabam dabam zasu iya kawo taimako tare da ciwo masu yawa da ke hade da cututtuka na gwiwoyi. Wadannan sun hada da tube osteochondropathy tube na tibia. Yawan Osgood-Schlatter ya yi sauri da hanyoyi masu zuwa:
- man fetur;
- ruwan shafawa;
- paraffin wanka.
Ayyuka da lotions daga ganyayyaki suna aiki da mahimmanci (amma tare da izinin likita).
Bayan 'yan girke-girke:
- Shredded yarrow da St. John na wort suna hade a daidai wannan rabo, kara da cewa melted naman alade mai. Ana sanya magani akan karamin wuta na mintina 15, sanyi. An yi amfani dashi azaman shafawa.
- 1.5 tbsp. an saka cokali mai yaduwar calatin zuwa 200 ml na ruwa mai burodi. Ana yin maganin maganin shafawa a cikin zafi tsawon minti 30, sa'an nan kuma tace. Ana amfani da ruwa tare da gauze, an yi amfani da gwiwa gwiwa tare da bandeji.
Osgood-Schlatter cuta - aiki
Yana da mahimmanci lokacin da aka ba da izinin maganin osteochondropathy. Wannan zai faru idan, a cikin ganewar asali na cutar Osgood Schlatter, X-ray ya nuna rabuwa da manyan ɓangarori daga tibia, ko kuma wani daga cikin magunguna masu ra'ayin mazan jiya ya haifar da sakamako. Ƙarin yanayin - mai haƙuri dole ne ya kasance shekaru 14. Yadda za'a warkar da cutar Osgood-Schlatter a lokuta masu wahala? Aikin ya ƙunshi ko dai a cire ɓarancin kashi (wanda aka bayyana a fili ta hanyar incision), ko kuma a gyara su zuwa tuberosity.
Osgood-Schlatter cuta - ƙuntatawa
Bayan kawar da dukkan abubuwan da ke damun su, tabbatar da hutawa ga gwiwa da aka ji rauni da kuma aiwatar da hadaddun ƙwayar magani, mai haƙuri ya ci gaba da lura da matakan tsaro. Don hana cutar Osgood-Schlatter a cikin matasa a nan gaba, dole ne a sauko da haɗin gwiwa, don kauce wa masu mummunan cututtuka (tsalle, gudu, tsaye a gwiwoyi). Zaka iya maye gurbin wasanni na saba don karin aminci (yin iyo, biking), kodayake, a matsayin mulkin, bayan an kare shi, an cire ƙuntatawa akan wasa wasanni.
Tsarin kariya ba kullum tabbatarwa ce cutar bata bayyana kanta ba. Duk wani microtrauma zai iya bunkasa cikin cutar Osgood-Schlatter, idan ba ku lura da shi a lokaci ba kuma fara jiyya. A haɗari, akwai yara da yara da yawa waɗanda suke yin aiki na har abada (rawa, wasanni) suna ɗaukar haɗari na cutar da ƙananan ƙarancin. Ga masu wasa na kwararru, kulawa da takalman yau da kullum ya zama al'ada. Sai kawai a wannan hanyar yana yiwuwa a kula da lafiyar lafiyar da kuma kauce wa osteochondropathy.